Individual
MRS. KELLY L PIKE-NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
9024 S SUBURBAN DR, BELOIT, WI 53511-9510
(608) 362-3095
Mailing address
9024 S SUBURBAN DR, BELOIT, WI 53511-9510
(608) 362-3095
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1333-27
—
Other
Enumeration date
02/24/2013
Last updated
02/24/2013
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